Blood at the meatus is the red flag (see what I did there?) for urethral injury, which should be evaluated for with a retrograde urethrogram. The membranous the most commonly injured by fracture. In contrast, the spongy urethra is most likely to be injured during traumatic catheter insertion or in a straddle injury.
canyon_runShould we just assume that a pelvic fracture implies a membranous urethral injury? I was between membranous and spongy and I ended up choosing spongy because of the perineal bruising and fact that the patient was riding a motorcycle (and therefore susceptible to straddle injury).+2019-06-29T23:03:01Z
benwhite_dotcomYes. You should think of spongy as the penile urethra, hence the predisposition to catheter-related trauma.+12019-06-29T23:03:35Z
to snoo-finity ... and beyond!
submitted by benwhite_dotcom(37), 2019-06-27T20:44:40Z
Blood at the meatus is the red flag (see what I did there?) for urethral injury, which should be evaluated for with a retrograde urethrogram. The membranous the most commonly injured by fracture. In contrast, the spongy urethra is most likely to be injured during traumatic catheter insertion or in a straddle injury.